Tiffany Banyard, SLP in Vicksburg, MS - Medicare Speech-Language Pathologist Provider

Tiffany Banyard, SLP is a medicare enrolled "Speech-language Pathologist" provider in Vicksburg, Mississippi. Her current practice location is 1901 Mission 66, Suite A, Vicksburg, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 638-4076.

Tiffany Banyard is licensed to practice in Mississippi (license number S2928) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1477601730.

Contact Information

	Tiffany Banyard, SLP
	1901 Mission 66, Suite A, Vicksburg, MS 39180-3711
	(601) 638-4076
	(601) 638-4979

Map and Direction

Healthcare Provider's Profile

Full Name	Tiffany Banyard
Gender	Female
Speciality	Speech-language Pathologist
Location	1901 Mission 66, Vicksburg, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1477601730
Provider Enumeration Date: 01/05/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 9335511740
Enrollment ID: I20230214000022

Medical Identifiers

Medical identifiers for Tiffany Banyard such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477601730	NPI	-	NPPES
05274351	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	S2928 (Mississippi)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Tiffany Banyard allows following entities to bill medicare on her behalf.

Provider Name	Healthpro Heritage Rehab & Fitness Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1952531154 PECOS PAC ID: 6507832573 Enrollment ID: O20160330000839

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tiffany Banyard is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Tiffany Banyard, SLP Po Box 822394, Vicksburg, MS 39182-2394 Ph: (601) 638-4076	Tiffany Banyard, SLP 1901 Mission 66, Suite A, Vicksburg, MS 39180-3711 Ph: (601) 638-4076

Reviews and Comments

Speech-Language Pathologist in Vicksburg, MS

Karen Bourne, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2850 Porters Chapel Rd, Vicksburg, MS 39180 Phone: 601-638-9211 Fax: 601-638-4986
Miss Hope Evans, MS SLP/CCC Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1905 Grove St, Vicksburg, MS 39183 Phone: 901-246-8233
Kara Brister, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2850 Porters Chapel Rd, Vicksburg, MS 39180 Phone: 601-638-9211 Fax: 601-636-4986
Alyssa Smith Scott, M.S. CC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 916 Belmont St Ste 1, Vicksburg, MS 39180 Phone: 601-852-3271
Ms. Deborah Davis Kilgo, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3302 Woodlands Pl, Vicksburg, MS 39180 Phone: 601-638-2771
Mrs. Tracy Curtis, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2100 Us 61, Vicksburg, MS 39183 Phone: 601-883-5000
Carla I Forte, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 2850 Porters Chapel Rd, Vicksburg, MS 39180 Phone: 601-638-9211 Fax: 601-636-4986

Tiffany Banyard, SLP - Medicare Speech-Language Pathologist in Vicksburg, MS